TABLE 2.
2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | Overall | Relative change (%) | P value | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Primary admission | 4412 | 5629 | 5709 | 6197 | 6776 | 7873 | 8414 | 7955 | 8885 | 9435 | 71 285 | 108 | <.0001 |
Patient level variables | |||||||||||||
Age | |||||||||||||
18‐49 | 1060 | 1190 | 1350 | 1430 | 1390 | 1630 | 1780 | 1870 | 1750 | 1940 | 1490 | 81 | <.0001 |
50‐64 | 3460 | 3640 | 3680 | 3900 | 3870 | 3860 | 4680 | 4810 | 5550 | 5590 | 4370 | 64 | <.0001 |
65‐79 | 8750 | 9980 | 10 980 | 10 470 | 11 360 | 12 020 | 12 820 | 11 970 | 13 660 | 14 010 | 11 970 | 53 | <.0001 |
≥80 | 26 710 | 13 930 | 14 970 | 17 900 | 17 630 | 21 020 | 23 470 | 21 710 | 18 090 | 27 640 | 20 810 | 19 | <.0001 |
Gender | |||||||||||||
Male | 2120 | 2530 | 2730 | 3050 | 3260 | 3410 | 4080 | 4190 | 4880 | 5080 | 3480 | 138 | <.0001 |
Female | 1310 | 1400 | 1690 | 1750 | 1650 | 2130 | 2490 | 2770 | 2780 | 3250 | 2090 | 147 | <.0001 |
Deyo/Charlson score | |||||||||||||
<2 | 1380 | 1620 | 1550 | 2060 | 1920 | 2050 | 2250 | 2070 | 2640 | 2740 | 2020 | 90 | <.0001 |
≥2 | 2040 | 2330 | 2650 | 2800 | 3010 | 3290 | 4040 | 4370 | 4820 | 5170 | 3380 | 156 | <.0001 |
Comorbidities | |||||||||||||
Hyperlipidemia | 3540 | 4350 | 4430 | 4990 | 5280 | 6750 | 6350 | 7430 | 8080 | 7930 | 6350 | 133 | <.0001 |
History of hypertension | 2960 | 3510 | 3850 | 4100 | 4360 | 4520 | 5480 | 5650 | 6180 | 6580 | 4830 | 119 | <.0001 |
Diabetes mellitus | 2530 | 3770 | 3920 | 4110 | 4440 | 4570 | 5670 | 6110 | 6550 | 7110 | 5000 | 165 | <.0001 |
Chronic pulmonary disease | 2400 | 3030 | 3220 | 3430 | 3280 | 3600 | 4460 | 5080 | 5760 | 5880 | 4070 | 144 | <.0001 |
Peripheral vascular disease | 5230 | 5010 | 7930 | 8040 | 6250 | 7980 | 9110 | 10 050 | 11 100 | 11 850 | 8820 | 123 | <.0001 |
Neurological disorder or paralysis | 1970 | 2410 | 2160 | 2670 | 2790 | 2890 | 3620 | 3470 | 4230 | 5140 | 3160 | 141 | <.0001 |
Hematological or oncological malignancy | 2520 | 2300 | 3320 | 3440 | 3260 | 4260 | 3980 | 4040 | 4090 | 4850 | 3660 | 86 | <.0001 |
Anemia | 1690 | 1990 | 2330 | 2780 | 2940 | 3210 | 4170 | 4320 | 4870 | 5400 | 3430 | 219 | <.0001 |
Obesity | 3080 | 3640 | 4700 | 4890 | 3980 | 5140 | 4380 | 5890 | 6630 | 6940 | 5310 | 108 | <.0001 |
Coronary artery disease | 7390 | 8120 | 8300 | 9210 | 9350 | 9630 | 11 090 | 11 660 | 12 080 | 13 110 | 10 330 | 75 | <.0001 |
History of previous myocardial infarction | 7050 | 5930 | 8140 | 10 290 | 7660 | 8350 | 11 630 | 10 860 | 10 860 | 12 570 | 9730 | 79 | <.0001 |
History of previous CABG | 9200 | 6720 | 6970 | 9440 | 11 930 | 11 750 | 14 650 | 14 220 | 14 850 | 15 180 | 12 210 | 96 | <.0001 |
Congestive heart failure | 9850 | 10 530 | 13 190 | 11 980 | 11 750 | 13 640 | 14 980 | 15 550 | 17 870 | 16 890 | 14 020 | 76 | <.0001 |
Renal failure | 4570 | 4690 | 5090 | 5500 | 5360 | 5960 | 7420 | 8030 | 8400 | 8870 | 6530 | 102 | <.0001 |
Hospital course | |||||||||||||
Use of vasopressor | 10 640 | 9320 | 12 270 | 9640 | 16 270 | 15 110 | 13 180 | 14 770 | 17 710 | 16 590 | 14 180 | 69 | <.0001 |
Cardiac catheterization | 9310 | 10 480 | 11 400 | 12 110 | 13 430 | 12 940 | 10 780 | 14 250 | 14 150 | 16 050 | 12 590 | 56 | <.0001 |
Endotracheal intubation | 6840 | 6910 | 8780 | 8350 | 9680 | 9230 | 11 000 | 10 940 | 12 670 | 12 750 | 9650 | 89 | <.0001 |
CPR | 14 460 | 14 360 | 19 390 | 18 440 | 16 730 | 21 120 | 20 490 | 26 470 | 25 220 | 29 380 | 20 480 | 97 | <.0001 |
Cardiogenic shock | 28 090 | 22 160 | 25 100 | 28 000 | 34 320 | 34 470 | 36 550 | 35 400 | 30 100 | 37 600 | 32 900 | 42 | <.0001 |
Cardiac arrest | 14 020 | 15 370 | 18 960 | 18 620 | 20 220 | 20 510 | 21 620 | 25 520 | 26 140 | 28 650 | 21 060 | 97 | <.0001 |
Median household income category for patient's zip code | |||||||||||||
1. 0‐25th percentile | 1840 | 2080 | 2170 | 2490 | 2490 | 2740 | 3430 | 3470 | 3850 | 4050 | 2800 | 124 | <.0001 |
2. 26‐50th percentile | 1740 | 2290 | 2360 | 2390 | 2940 | 3140 | 3600 | 3900 | 4300 | 4750 | 3050 | 165 | <.0001 |
3. 51‐75th percentile | 1890 | 2160 | 2540 | 3310 | 3470 | 3300 | 4530 | 4480 | 4830 | 5170 | 3440 | 177 | <.0001 |
4. 76‐100th percentile | 2350 | 2540 | 3130 | 3280 | 3570 | 4190 | 4760 | 4830 | 5640 | 5310 | 3790 | 144 | <.0001 |
Primary payer | |||||||||||||
Medicare/Medicaid | 1900 | 2280 | 2550 | 2670 | 2780 | 3190 | 3750 | 3960 | 4470 | 4760 | 3200 | 149 | <.0001 |
Private including HMO | 2390 | 2190 | 2750 | 3160 | 3430 | 3370 | 3910 | 3950 | 4240 | 4140 | 3310 | 87 | <.0001 |
Self‐pay/no charge/other | 1020 | 1460 | 1290 | 1590 | 1760 | 1570 | 1830 | 2060 | 2360 | 2810 | 1710 | 143 | <.0001 |
Admission type | |||||||||||||
Nonelective | 1910 | 2250 | 2460 | 2640 | 2730 | 3080 | 3610 | 3790 | 4270 | 4600 | 3090 | 138 | <.0001 |
Elective | 1550 | 1310 | 1630 | 2360 | 2610 | 2250 | 3030 | 3120 | 3360 | 3290 | 2380 | 138 | <.0001 |
Hospital characteristics | |||||||||||||
Hospital bed size | |||||||||||||
Small | 2110 | 1910 | 1900 | 2360 | 2230 | 2960 | 3170 | 3050 | 3540 | 4050 | 2770 | 98 | <.0001 |
Medium | 1330 | 2000 | 2470 | 2870 | 2800 | 3000 | 3160 | 3760 | 4260 | 4730 | 3030 | 221 | <.0001 |
Large | 2040 | 2230 | 2370 | 2560 | 2710 | 2980 | 3730 | 3800 | 4250 | 4430 | 3030 | 125 | <.0001 |
Discharge | |||||||||||||
Home | 1670 | 1890 | 2040 | 2280 | 2370 | 2550 | 3080 | 3230 | 3650 | 3790 | 2620 | 130 | <.0001 |
Facility | 2350 | 2990 | 2930 | 3600 | 4100 | 4200 | 5260 | 5570 | 6610 | 7130 | 4420 | 201 | <.0001 |
Length of stay during index admission in days (median, IQR) | 6 (3‐11) | 6 (3‐11) | 5 (3‐10) | 5 (3‐10) | 5 (3‐9) | 5 (3‐10) | 5 (3‐9) | 5 (2‐9) | 5 (2‐9) | 5 (3‐10) | 5 (3‐10) | .0483 | |
Cost of care (median, IQR) | 12 285 (6446‐27 184) | 12 974 (6502‐27 557) | 12 181 (6117‐26 158) | 11 486 (6107‐25 911) | 12 362 (6029‐25 850) | 12 029 (6210‐25 024) | 12 570 (6396‐25 312) | 12 043 (6274‐25 683) | 11 602 (6111‐25 629) | 12 410 (6410‐27 253) | 12 210 (6248‐26 167) | .4019 |
Abbreviations: CABG, coronary artery bypass graft; CPR, cardiopulmonary resuscitation; HMO, Health Maintenance Organization; ICD, implantable cardioverter defibrillator; IQR, interquartile range.